Community Health Center

NPI 1073511721 - Clinic/Center - 261QF0400X

NPI Details
NPI 1073511721
Enumeration Date 07/07/2005
Last Updated 08/04/2015
Entity Type Healthcare Provider
Active Over 13 years ago
Authorized Information
Name WILLIAM D WILLIAM
Position CEO
Phone (541) 773-3863
Fax (541) 776-2892
Practice Location
19 MYRTLE STREET
MEDFORD OR, 97504-7337, US
Phone (541) 773-3863
Fax (541) 776-2892
Business Location
19 MYRTLE STREET
MEDFORD OR, 97504-7337, US
Phone (541) 773-3863
Fax (541) 776-2892
Toxanomy
Taxonomy Code 261QF0400X
License State
License Number
Remove 1073511721 NPI Number
 

According to our database, Community Health Center NPI is 1073511721, taxonomy code is 261QF0400X Community Health Center physically located at 19 Myrtle Street, Medford OR, 97504-7337. NPI Number 1033115704 has the healthcare provider type.

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1073511721 NPI number is provided on an as is basis without warranty of any kind. 1073511721 is maintained by the National Plan & Provider Enumeration System. The contents of Community Health Center are for informational purposes only.